Hernández Diana, Siegel Eva
Sociomedical Sciences, Columbia University, Mailman School of Public Health, 722 W 168th Street, New York, NY, 10032, USA.
Epidemiology, Columbia University, Mailman School of Public Health, 722 W 168th Street, New York, NY, 10032, USA.
Energy Res Soc Sci. 2019 Jan;47:78-83. doi: 10.1016/j.erss.2018.08.011. Epub 2018 Sep 8.
This study examines the effects of a novel construct - - on adverse health in a community-based sample in New York City. Using a 2015 cross-sectional study of 2,494 households in Washington Heights, we described the socio-demographic characteristics of energy insecure households and examined the association between energy insecurity and health outcomes using logistic regression models. Twenty-seven percent of participants were energy insecure. Racial/ethnic minorities, households with children, long-term neighborhood residents, and those with poor housing conditions were more likely to be energy insecure; meanwhile, middle income households were not fully protect against energy insecurity. Energy insecurity was significantly associated with poor respiratory, mental health, and sleep outcomes; it was not associated with metabolic disorders, accidents, or neighborhood violence and cohesion. This study indicates that energy insecurity may explain some existing respiratory and mental health-related disparities in vulnerable populations. More research on energy insecurity is needed along with refinement of its measurement.
本研究在纽约市一个基于社区的样本中，考察了一种新型结构对健康不良状况的影响。利用2015年对华盛顿高地2494户家庭的横断面研究，我们描述了能源不安全家庭的社会人口特征，并使用逻辑回归模型检验了能源不安全与健康结果之间的关联。27%的参与者存在能源不安全状况。少数族裔、有孩子的家庭、长期居住在社区的居民以及住房条件差的家庭更有可能存在能源不安全状况；与此同时，中等收入家庭并不能完全免受能源不安全的影响。能源不安全与呼吸、心理健康和睡眠不良结果显著相关；它与代谢紊乱、事故或社区暴力及凝聚力无关。本研究表明，能源不安全可能解释了弱势群体中一些现有的与呼吸和心理健康相关的差异。需要对能源不安全进行更多研究，并完善其测量方法。
